| Essential Family Medicine Of Omaha, Llc | |
|
17520 Wright St Suite 105 Omaha NE 68130-4657 | |
| (402) 991-5353 | |
| (402) 991-5444 |
| Full Name | Essential Family Medicine Of Omaha, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 17520 Wright St, Omaha, Nebraska |
| Authorized Official Name and Position | Lynn Andersen (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4023195298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Family Medicine Of Omaha, Llc Po Box 37 Boys Town NE 68010-0037 Ph: (402) 319-5298 | Essential Family Medicine Of Omaha, Llc 17520 Wright St Suite 105 Omaha NE 68130-4657 Ph: (402) 991-5353 |
| NPI Number | 1407225477 |
|---|---|
| Provider Enumeration Date | 09/21/2015 |
| Last Update Date | 12/08/2015 |
| Medicare PECOS PAC ID | 0648570077 |
|---|---|
| Medicare Enrollment ID | O20151207002853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407225477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Angela Noel Law |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336294487 PECOS PAC ID: 7517855364 Enrollment ID: I20040304001149 |
| Provider Name | Amanda Lynn Kester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740249176 PECOS PAC ID: 4880603968 Enrollment ID: I20060418000610 |
| Provider Name | Julie Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447300447 PECOS PAC ID: 2961546247 Enrollment ID: I20100224000774 |
| Provider Name | Jacque Langford-karre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174003941 PECOS PAC ID: 6608127394 Enrollment ID: I20180919001371 |
| Provider Name | Ellie D Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851150627 PECOS PAC ID: 6204275530 Enrollment ID: I20240418002769 |
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